Abstract Audiology has contributed significantly to the differential diagnosis of acoustic neuromas. In the past, the only widely accepted auditory criterion suggesting the presence of an acoustic neuroma was a unilateral sensorineural type of hearing loss. Attempts have been made to establish a particular type of frequency loss pattern with the presence of a neuroma. Eggston and Wolff,1 Schuknecht,2 Cambon and Guilford,3 and many others have equated elevated low frequency loss and near normal high frequency patterns with the possibility of an acoustic neuroma. The present study of 53 surgically confirmed cases did not support this contention. Many investigators, including Hallpike and Hood,4 Carhart,5 Pestalozza and Cioce,6 and Palva7 have established the fact that excessive adaptation to a pure tone stimulus is most frequently associated with retrocochlear problems. As long ago as 1893, Gradenigo8 wrote that a vibrating tuning fork could be heard References 1. Eggston, A. S., and Wolff, D.: Histopathology of Ear, Nose and Throat , Baltimore: The Williams & Wilkins Company, 1947, p 1080. 2. Schuknecht, H. F.: Meniere's Disease: Correlation of Symptomatology and Pathology , Laryngoscope 73:651-665, 1963.Crossref 3. Cambon, K., and Guilford, F. R.: Acoustic Neurilemoma , AMA Arch Otolaryng 67:302-312, 1958.Crossref 4. Hallpike, C. S., and Hood, J. D.: Observations Upon Neurological Mechanism of Loudness Recruitment Phenomenon , Acta Otolaryng 50:472-486, 1959.Crossref 5. Carhart, R.: Clinical Determination of Abnormal Auditory Adaptation , AMA Arch Otolaryng 65:32-39, 1957.Crossref 6. Pestalozza, G., and Cioce, C.: Measuring Auditory Adaptation: Value of Different Clinical Tests , Laryngoscope 72:240-261, 1962.Crossref 7. Palva, T.: Auditory Adaptation , Acta Otolaryng 57:207-216, 1964.Crossref 8. Gradenigo, G.: " Gehörstörungen infolge von direkten Läsionen des N. acusticus durch intrakranielle Tumoren ," in Schwarzes Handbuch der Ohrenheilkunde , Leipzig: F. C. W. Vogel, 1893, vol 2. 9. Rosenberg, P. E.: Clinical Measurement of Tone Decay, read before the American Speech and Hearing Association Convention, November, 1958. 10. Green, D. S.: Modified Tone Decay Test (MTDT) as Screening Procedure for Eighth Nerve Lesions , Speech Hearing Dis 28:31-36, 1963. 11. Harbert, F., and Young, I. M.: Threshold Auditory Adaptation Measured by Tone Decay Test and Békésy Audiometry , Ann Otol 73:48-60, 1964. 12. von Békésy, G.: New Audiometer , Acta Otolaryng 35:411-422, 1947.Crossref 13. Jerger, J.: Békésy Audiometry in Analysis of Auditory Disorders , J Speech Hearing Res 3:275-287, 1960. 14. Fowler, E. P.: Marked Deafened Areas in Normal Ears , Arch Otolaryng 8:151-155, 1928.Crossref 15. Fowler, E. P.: Loudness Recruitment: Definition and Clarification , Arch Otolaryng 78:748-753, 1963.Crossref 16. Owens, E.: Tone Decay in VIIIth Nerve and Cochlear Lesions , J Speech Hearing Dis 29:14-22, 1964. 17. Brand, S., and Rosenberg, P.: Problems in Auditory Evaluation for Neurosurgical Diagnosis , J Speech Hearing Dis 28:355-361, 1963. 18. House, W. F., and Doyle, J. B., Jr.: Early Diagnosis and Removal of Primary Cholesteatoma Causing Pressure to the VIIIth Nerve , Laryngoscope 72:1053-1063, 1962. 19. Jerger, J.; Shedd, J. L.; and Harford, E.: On Detection of Extremely Small Changes in Sound Intensity , Arch Otolaryng 69:200-211, 1959.Crossref 20. Jerger, J.: Hearing Tests in Otologic Diagnosis , ASHA Amer Speech Hearing Ass 4:139-145, 1962. 21. Parker, W.; Decker, R. L.; and Gardner, W. H.: Auditory Function and Intracranial Lesions , Arch Otolaryng 76:425-435, 1962.Crossref 22. Flower, R. M., and Viehweg, R.: Review of Audiologic Findings Among Patients With Cerebellopontine Angle Tumors , Laryngoscope 71:1105-1126, 1961.Crossref 23. Schuknecht, H. F., and Woellner, R. C.: Hearing Losses Following Partial Section of Cochlear Nerve , Laryngoscope 63:441-465, 1953. 24. Newby, H. A.: Audiology , ed 2, New York: Appleton-Century-Crofts, 1964, p 400. 25. Sorensen, H.: Clinical Application of Continuous Threshold Recordings , Acta Otolaryng 54:403-422, 1962.Crossref 26. Jerger, J., and Waller, J.: Some Observations on Masking and on Progression of Auditory Signs in Acoustic Neurinoma , J Speech Hearing Dis 27:140-143, 1962.
Archives of Otolaryngology – American Medical Association
Published: Dec 1, 1964
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